Wichayapha Manorak, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401415789 Issued in VA

Practice address

3608 Forest Dr
Alexandria, VA 22302-1043

Phone

(215) 554-0388

NPI assigned

Aug 20, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1477079531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 CHESTNUT ST",
            "address_2": "702",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043621",
            "telephone_number": "215-554-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 FOREST DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021043",
            "telephone_number": "215-554-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANORAK",
        "first_name": "WICHAYAPHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajvinder Kaur Mann, M.D.
• Anne Marie Manner, LPC
• Christa Mannino
• Omid Manoochehri
• Manor Care of Alexandria VA LLC
• Rebecca Raymond Manthey, M.A., L.P.C.
• Kelvin Manurs, PRS
• Jennifer Lux Manz
• Katherine Jane Manzanares
• Mar 24 Transportation LLC

• Dentist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.